This text provides a thorough understanding of the use of polysomnography and other technologies in the evaluation and management of sleep disorders. Coverage includes in-depth reviews of the neurophysiology and cardiopulmonary aspects of sleep and the pathophysiology of sleep disorders. Detailed sections on polysomnography include recording procedures, identifying and scoring sleep stages and sleep-related events, and report generation. Chapters discuss therapeutic interventions including positive airway pressure, supplemental oxygen, surgical and pharmacologic treatments, and patient education. A section focuses on pediatric sleep disorders and polysomnography. Also included are chapters on establishing and managing a sleep center and accrediting a sleep program.

Contents


OVERVIEW OF SLEEP MEDICINE
The Evolution of Polysomnographic Technology / The Scope of Modern Sleep Medicine
PHYSIOLOGY OF NORMAL SLEEP
Neurophysiologic Basis of Sleep and Wakefulness / Normal Patterns and Phenomena of Sleep, Arousal, and Wakefulness / Sleep Deprivation / Sleep Across the Life Cycle / Sleep and Aging / Sleep in Women / Circadian Rhythms
CARDIOPULMONARY ASPECTS OF SLEEP
The Airway and Mechanics of Breathing / Breathing Control Mechanisms / Gas Exchange and Transport / Normal Cardiac Physiology (Including Electrophysiology
SLEEP DISORDERS
Obstructive Sleep Apnea / Central Sleep Apnea / Circadian Rhythm Sleep Disorders / Periodic Leg Movements of Sleep / Restless Legs Syndrome / Narcolepsy / Parasomnias / Insomnia / Sleep and Medical Disorders / Cardiopulmonary Disorders Affecting Sleep in the Elderly / Sleep Disorders and Degenerative Neurologic Disorders / Sleep Disorders and Vascular Disorders / Psychiatric Disorders That Affect Sleep
PREPARATION FOR POLYSOMNOGRAPHY
Patient Interviewing / Assessment and Accommodation for Special Needs / Patient Preparation
POLYSOMNOGRAPHIC RECORDING PROCEDURES
Fundamentals of Electroencephalography and Other Biopotentials / Polysomnography Recording Systems / Principles of Recording Biopotentials
RECOGNISING AND SCORING RECORDED EVENTS
Sleep Stages and Sleep Architecture / Noninvasive Monitoring of Gas Exchange During Sleep / Sleep-Disordered Breathing / Cardiac Arrhythmias / Report Generation / Recording Quality and Artifacts / Motor Events / Nocturnal Seizures / Pharmacologic Effects on the Polysomnogram
EVALUATION OF HYPERSOMNIA
Multiple Sleep Latency Test and Maintenance of Wakefulness Test / Wrist Actigraphy / Subjective Evaluation of Sleepiness
INTERVENTIONS AND THERAPEUTICS
Positive Pressure Airway Therapy / Titration of Continuous Positive Airway Pressure and Application and Adjustment of Positive Airway Pressure Devices / Enhancing Therapeutic Compliance / Bilevel Positive Pressure Airway Devices and Titration of Bilevel Positive Airway Pressure / Autotitrating Devices for Positive Airway Pressure / Noninvasive Ventilation for Sleep-Disordered Breathing / Oxygen Administration in the Sleep Center / Dental Sleep Medicine / Surgical and Pharmacologic Treatment of Sleep Disorders / Sleep Hygiene / Treatment of Insomnia / Patient and Family Education
PAEDIATRIC SLEEP
Preparation of Infants and Children for Polysomnography / Infant and Toddler Polysomnography / Sleep-Related Breathing Disorders in Children / Nonrespiratory Pediatric Sleep Disorders / Neuromuscular Disorders Affecting Sleep in Children / Pulmonary Disorders Affecting Sleep in Children / Parasomnias in Children / Interventions in the Pediatric Sleep Laboratory, Including Positive Airway Pressure / Pediatric Scoring
SLEEP CENTER MANAGEMENT
Professionalism / Staffing a Sleep Center / Sleep Center Policies and Procedures / Safety Considerations for the Sleep Center / Accrediting a Sleep Programme
ESTABLISHING A SLEEP CENTRE
The Sleep Center and Physical Plant / Audiovisual Equipment in the Sleep Center / Evaluating and Replacing Equipment in the Sleep Center
RESEARCH IN THE SLEEP CENTRE
Regulations on Research, Recruitment of Subjects, and Subject Rights / Funding, Writing, and Obtaining Grants / Pediatric Research
APPENDICES
Certification of Polysomnographic Technologists / Board of Registered Polysomnographic Technologists Standards of Conduct: Professional Discipline Committee / Board of Registered Polysomnographic Technologists Rules and Procedures Regarding Ethical and Professional Discipline Complaints / Introduction to the New International Classification of Sleep Disorders